Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature

ABSTRACT: Background: Inflatable penile prostheses (IPPs) with smaller diameter cylinders have been in use for over 30 years, yet the literature is sparse on their utilization patterns amongst prosthetic surgeons. Aim: To understand current usage of small diameter penile implants (SDPI) among prost...

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Autores principales:	Scott P. Campbell, MD, Christopher J. Kim, MD, Armand Allkanjari, MD, Brent Nose, MD, J. Patrick Selph, MD, Aaron C. Lentz, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Inflatable Penile Prosthesis Small Diameter Cylinder Medicine R Other systems of medicine RZ201-999
Acceso en línea:	https://doaj.org/article/a29d7ca632ac40498169a3e9a796e153
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spelling	oai:doaj.org-article:a29d7ca632ac40498169a3e9a796e1532021-11-28T04:30:31ZSmall Diameter Penile Implants: A Survey on Current Utilization and Review of Literature2050-116110.1016/j.esxm.2021.100458https://doaj.org/article/a29d7ca632ac40498169a3e9a796e1532022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2050116121001380https://doaj.org/toc/2050-1161ABSTRACT: Background: Inflatable penile prostheses (IPPs) with smaller diameter cylinders have been in use for over 30 years, yet the literature is sparse on their utilization patterns amongst prosthetic surgeons. Aim: To understand current usage of small diameter penile implants (SDPI) among prosthetic surgeons. Methods: IRB approval was obtained to conduct a survey of prosthetic surgeons. A 23-question online survey was distributed via email to physician members of the Sexual Medicine Society of North America (SMSNA) and Society of Urologic Prosthesis Surgeons (SUPS). The survey included questions regarding surgeon experience and volume, frequency of SDPI utilization, indications for SDPI, surgical strategy in the setting of SDPI (approach, use of concordant modeling/grafting), reservoir and pump management, and perceived infection risk and patient satisfaction. Main Outcome Measure: SDPI were utilized by the vast majority of respondents in certain clinical situations such as corporal fibrosis or anatomically small corpora, and surgeons have had a favorable experience with these as a final destination implant or as a place-holder until reimplantation with a normal diameter device. Results: Fifty individuals responded to the survey, 48 of whom routinely utilized SDPI. The most common indication for SDPI placement was corporal fibrosis from prior infection, followed by anatomically small corpora and priapism. The most common maximal dilation diameter was 10 mm (47%), an additional 23% of respondents utilized SDPI with 11 mm dilation. 75.4% of respondents sometimes or always intended to upsize to standard diameter cylinders in the future. 68.8% of surgeons routinely counseled patients on the possibility of reduced grith and rigidity with SDPI. Patient satisfaction was perceived to be comparable to standard diameter cylinders in 56.3% of respondents, while the remaining 43.6% believed it to be lower than traditional cylinders. Utilization of SDPI can be an important tool for prosthetic surgeons faced with difficult cases due to corporal fibrosis or small corpora. This survey provides new insight into patterns of SDPI utilization by surgeons. A limitation of the study is that patient satisfaction is indirectly addressed through surgeons’ perception and experience, further research will be necessary to include patient questionnaires regarding device satisfaction. Conclusion: SDPI are necessary in certain scenarios that preclude the use of normal diameter cylinders. These implants may offer satisfactory erections, but can also be upsized to standard diameter cylinders in the future.Campbell S.P. et al., Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature. Sex Med 2021;XX:XXXXXX.Scott P. Campbell, MDChristopher J. Kim, MDArmand Allkanjari, MDBrent Nose, MDJ. Patrick Selph, MDAaron C. Lentz, MDElsevierarticleInflatable Penile ProsthesisSmall Diameter CylinderMedicineROther systems of medicineRZ201-999ENSexual Medicine, Vol 10, Iss 1, Pp 100458- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Inflatable Penile Prosthesis Small Diameter Cylinder Medicine R Other systems of medicine RZ201-999
spellingShingle	Inflatable Penile Prosthesis Small Diameter Cylinder Medicine R Other systems of medicine RZ201-999 Scott P. Campbell, MD Christopher J. Kim, MD Armand Allkanjari, MD Brent Nose, MD J. Patrick Selph, MD Aaron C. Lentz, MD Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature
description	ABSTRACT: Background: Inflatable penile prostheses (IPPs) with smaller diameter cylinders have been in use for over 30 years, yet the literature is sparse on their utilization patterns amongst prosthetic surgeons. Aim: To understand current usage of small diameter penile implants (SDPI) among prosthetic surgeons. Methods: IRB approval was obtained to conduct a survey of prosthetic surgeons. A 23-question online survey was distributed via email to physician members of the Sexual Medicine Society of North America (SMSNA) and Society of Urologic Prosthesis Surgeons (SUPS). The survey included questions regarding surgeon experience and volume, frequency of SDPI utilization, indications for SDPI, surgical strategy in the setting of SDPI (approach, use of concordant modeling/grafting), reservoir and pump management, and perceived infection risk and patient satisfaction. Main Outcome Measure: SDPI were utilized by the vast majority of respondents in certain clinical situations such as corporal fibrosis or anatomically small corpora, and surgeons have had a favorable experience with these as a final destination implant or as a place-holder until reimplantation with a normal diameter device. Results: Fifty individuals responded to the survey, 48 of whom routinely utilized SDPI. The most common indication for SDPI placement was corporal fibrosis from prior infection, followed by anatomically small corpora and priapism. The most common maximal dilation diameter was 10 mm (47%), an additional 23% of respondents utilized SDPI with 11 mm dilation. 75.4% of respondents sometimes or always intended to upsize to standard diameter cylinders in the future. 68.8% of surgeons routinely counseled patients on the possibility of reduced grith and rigidity with SDPI. Patient satisfaction was perceived to be comparable to standard diameter cylinders in 56.3% of respondents, while the remaining 43.6% believed it to be lower than traditional cylinders. Utilization of SDPI can be an important tool for prosthetic surgeons faced with difficult cases due to corporal fibrosis or small corpora. This survey provides new insight into patterns of SDPI utilization by surgeons. A limitation of the study is that patient satisfaction is indirectly addressed through surgeons’ perception and experience, further research will be necessary to include patient questionnaires regarding device satisfaction. Conclusion: SDPI are necessary in certain scenarios that preclude the use of normal diameter cylinders. These implants may offer satisfactory erections, but can also be upsized to standard diameter cylinders in the future.Campbell S.P. et al., Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature. Sex Med 2021;XX:XXXXXX.
format	article
author	Scott P. Campbell, MD Christopher J. Kim, MD Armand Allkanjari, MD Brent Nose, MD J. Patrick Selph, MD Aaron C. Lentz, MD
author_facet	Scott P. Campbell, MD Christopher J. Kim, MD Armand Allkanjari, MD Brent Nose, MD J. Patrick Selph, MD Aaron C. Lentz, MD
author_sort	Scott P. Campbell, MD
title	Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature
title_short	Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature
title_full	Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature
title_fullStr	Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature
title_full_unstemmed	Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature
title_sort	small diameter penile implants: a survey on current utilization and review of literature
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/a29d7ca632ac40498169a3e9a796e153
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Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature

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